Senior pharmacovigilance practice

The criticalpassagein drug development.

Isthmus gives clinical-stage biotechnology companies senior pharmacovigilance infrastructure, operations, inspection readiness, and strategic advisory—at the moment their safety model needs to change.

16

years of global pharmacovigilance leadership

FDA / MHRA

DKMA and EU GVP inspection settings

END—TO—END

from development through submission, launch, and post-marketing

The practice

An isthmus is a narrow passage. In drug development, pharmacovigilance is that passage: the operating system that turns clinical evidence into regulatory confidence.

BUILD

Build it before the pressure begins.

Before first patient in, the safety function needs a practical operating model—not a stack of documents that cannot run a trial.

  • Pre-IND and first-in-human readiness
  • Documented roles, intake, safety systems, and workflows
  • A model designed for the next milestone, not just today

STRENGTHEN

Keep control as the model grows.

When a bundled CRO model is no longer enough, ownership must stay clear across vendors, systems, case volume, geography, and submission work.

  • Scale-up before pivotal development or submission
  • Safety-system and vendor transition control
  • Governance, reconciliation, and reporting continuity

ASSURE

Make control demonstrable under scrutiny.

Most safety findings are workflow failures, not knowledge failures. A robust system shows its evidence when compliance signals drift, reporting pressure rises, or an inspection begins.

  • Aggregate-report, audit, inspection, and remediation readiness
  • Independent assessment of the system under scrutiny
  • Senior PV leadership without unnecessary full-time headcount

What we do

Six practice areas.
One discipline.

Engagements draw from across the PV lifecycle. The composition follows where the sponsor is in development—not a fixed service menu.

  • End-to-end ICSR case processing, from intake through submission
  • MedDRA coding and quality control
  • SAE and SUSAR reconciliation
  • Literature surveillance and case identification
  • Patient Support Program adverse event oversight
  • Social media and digital media adverse event monitoring
  • Market Research Program safety review
  • Specialty pharmacy and call center PV oversight
  • PV organization design and operating model
  • SOP suite development across the ICSR and submission lifecycle
  • Safety database selection and configuration: Argus, ARISg, and Veeva Vault Safety
  • Safety database migration and validation oversight
  • Safety database to EDC integration for electronic SAE flow
  • Privacy-aware intake systems and controlled safety data flows
  • Submission rule design and automation
  • PV vendor selection, contracting, and onboarding
  • Training curriculum design for internal teams and investigators
  • Pre-inspection readiness assessments
  • Mock inspections aligned to FDA, MHRA, DKMA, and EU GVP expectations
  • Front-room and back-room inspection support
  • Inspection finding remediation and CAPA development
  • GVP and ICH compliance gap assessments
  • Internal PV audits
  • PSMF authoring and maintenance support
  • QPPV office support and advisory
  • Embedded fractional senior PV leadership
  • IND, NDA, BLA, MAA safety section authoring and review
  • Investigator brochure and protocol safety language
  • Risk Management Plans (EU-RMP) and REMS design
  • DSMB and IDMC preparation and participation
  • Signal detection and management
  • Benefit-risk assessment frameworks
  • SDEA negotiation and partner safety oversight
  • PV due diligence for licensing, partnerships, and M&A
  • DSUR authoring
  • IND annual reports
  • PSUR and PBRER authoring
  • PADER preparation
  • Ad hoc safety updates
  • Health authority Q&A response drafting
  • Submission package quality control and review
  • Cross-functional review coordination
  • AI-enabled adverse event intake, available now through partnership
  • Automated submission rule engines
  • Aggregate-report source and output automation support
  • Quality control automation for ICSR cases
  • Reportability decision-support tools for global market obligations
  • Sponsor-facing dashboards and KPI reporting

How we engage

The structure changes.
The standard does not.

Each model has a defined scope, cadence, and a single point of senior accountability. Choose a sprint, embedded leadership, or operations that scale with the portfolio.

AI-enabled PV

Modern tooling.
The sponsor stays in control.

AI-enabled tools can reduce repetitive effort in intake, extraction, triage, quality review, and workflow routing. Isthmus uses them only where they can be implemented with appropriate human oversight, validation planning, auditability, privacy controls, and clear sponsor accountability.

AVAILABLE NOW

AI-enabled intake platform

Through technology partnerships, Isthmus can support AI-enabled adverse event intake and mailbox triage workflows, including controlled case capture, structured field extraction, and initial routing.

Implementation is treated as a controlled component of the sponsor’s PV system, with human review, documented decision points, validation planning, audit trails, privacy considerations, and integration pathways assessed against the existing safety technology environment.

HUMAN-IN-THE-LOOP

Decision support,
not decision replacement

Automation may draft, extract, suggest, or route; trained human reviewers remain responsible for medical judgment, coding confirmation, reportability, narrative quality, and submission approval.

  • Case creation and structured data review support
  • Medical review drafting support
  • MedDRA coding suggestions with human confirmation
  • Narrative drafting with reviewer approval
  • ICSR submission preparation with controlled approval gates

The principal

Junaid
Memon

FOUNDER  ·  PRACTICE PRINCIPAL

Junaid Memon is a global pharmacovigilance executive with sixteen years of leadership across PV operations, safety governance, lifecycle safety management, benefit-risk oversight, regulatory compliance, and safety-systems transformation.

His experience spans small biotechnology companies, clinical-stage and mid-size pharma organizations, and larger pharma operating environments. He builds and transforms PV functions by translating regulatory expectations into practical operating models, vendor frameworks, procedures, safety systems, reconciliation controls, and inspection-ready governance.

His advisory approach is stage-based rather than template-driven: decide what must be built now, what can be outsourced, what can reasonably wait, and what must be demonstrably controlled before the next milestone.

Read Junaid’s full background +

He has led global PV operations through NDA, MAA, and BLA submission activity, commercial drug-device combination product launches, safety database and vendor transitions, and PV inspection settings involving FDA, MHRA, DKMA, and EU GVP expectations, including inspections without critical findings.

He also advises early-stage technology developers building AI-enabled pharmacovigilance capabilities, with a focus on human-in-the-loop design, operational control, and sponsor-visible accountability.

He holds an MBA in Strategic Management from Pace University, an MBA in Healthcare Management from Goldey-Beacom College, and a medical degree from C.M.P. Homoeopathic Medical College, Mumbai.

COMPANY CONTEXTS

Small biotech · Mid-size pharma · Larger pharma operating environments

DEVELOPMENT STAGES

Pre-IND · First-in-human · Pivotal · Submission · Launch · Post-marketing

REGULATORY EXPOSURE

FDA · MHRA · DKMA · EU GVP inspection settings

CORE STRENGTH

Stage-appropriate PV infrastructure · Vendor oversight · Safety systems · Inspection readiness

Begin a conversation

Your next safety decision deserves a clear path.

A first conversation is practical and confidential: where the sponsor is now, what milestone is approaching, what safety infrastructure already exists, and what needs to be strengthened before the next decision point.

Schedule a conversation
EMAILcontact@isthmusdrugsafety.com
OPERATING BASE

India, anchored in Mumbai
US relationship presence · San Jose